| Cost-utility analysis of screening and laser treatment of retinopathy of prematurity. | |
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MedLine Citation:
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PMID: 19393519 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Retinopathy of prematurity (ROP) is a major cause of lifelong blindness beginning in infancy. Utility analysis is used to describe the effect of illness and medical intervention on an individual's quality of life during the course of a lifetime. In this study, cost-utility analysis is used to evaluate the cost-effectiveness of both screening and laser photoablation for ROP. METHODS: Data from 2 neonatal intensive care units were recorded for infants screened and treated for ROP between March 4, 2004, and January 5, 2006. The cost model was developed using procedures classified by Current Procedural Terminology and the costs paid for by the Centers for Medicare and Medicaid Services for 2006. Visual acuities were obtained from 10-year post-laser data and from the 10-year post-CRYO-ROP untreated cohort. RESULTS: During the study period, 515 infants received screening and treatment for ROP. They required a mean 3.4 exams per infant; 11.2% received laser photoablation. Mean visual acuities were 0.5 (Snellen 20/40) for laser-treated eyes and 0.20 (Snellen 20/100) for those who did not receive treatment. The cost-effectiveness of screening and laser photoablation of ROP in 2006 is $650/quality-adjusted life years. When discounted 3% per year for the time value of money, the cost is $1,565/ quality-adjusted life years. CONCLUSIONS: The screening and laser photoablation of ROP continue to be extremely cost-effective medical interventions. |
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Authors:
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Jennifer A Dunbar; Victoria Hsu; Marc Christensen; Bradley Black; Pamela Williams; George Beauchamp |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus Volume: 13 ISSN: 1528-3933 ISO Abbreviation: J AAPOS Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-04-27 Completed Date: 2009-08-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9710011 Medline TA: J AAPOS Country: United States |
Other Details:
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Languages: eng Pagination: 186-90 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Loma Linda University, Loma Linda, California 92354, USA. Jdunbar@llu.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Birth Weight Cost-Benefit Analysis Databases, Factual Humans Infant, Newborn Intensive Care, Neonatal Laser Therapy / economics* Quality-Adjusted Life Years Retinopathy of Prematurity* / diagnosis, economics, surgery Retrospective Studies Vision Screening / economics* Visual Acuity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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